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[Restless legs syndrome. Features and impact on sleep]
L Gabaldón Torres1, J Salas Felipe, J Fernández Domínguez
1Servicios de Neurología y Neurofisiología, Hospital Universitario La Paz, Madrid. laugato@terra.es
Introduction:
Restless legs syndrome (RLS) is a chronic neurological disorder that has a negtive influence on sleep. We describe clinical spectrum, polysomnogram and impact on sleep of patients' series with RLS.
Methods:
We studied 49 patients with RLS. We analyse socio- demographic information, clinical features, therapy and impact on sleep. We realized differents questionnaire: Index of Severity of Sleep, Epworth Scale, Index-RLS, Questionnaire Quality of Life-RLS and Questionnaire from limitation of laboral productivity.
Results:
Mean age is 60.33+/-14.27 with similar distribution enter gender. They presented a positive family history in 36,73% with predominant in early onset of symptoms. Secondary causes more frequent associated were rheumatoid arthritis, iron-deficiency, uremia, pregnancy and polineuropathy. Significative prevalence of insomnia (73,43%) and periodic limb movement disorder (51,02%), obstructive sleep apnea syndrome (22,45%) and hipersomnia (22,45 %). Pharmacological treatment more used were dopaminergic drugs. We didn't find significant stadistic differences enter clinical feature and therapy, so tendency to better quality of life with dopaminergic drugs.
Conclusions:
It's an neurological disorder with important delay in diagnosis. Early detection is needed because important impact on sleep efficiency and quality of life, and improvement with therapy, solely dopaminergic drugs.
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